Organization Active NPI

James Heinsimer MD PC

  • Cardiovascular Disease Physician
  • Royal Oak, MI
National Provider Identifier
1124214952
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
JH049901 Issued in MI
Legal business name
JAMES HEINSIMER MD PC
Practice address
3535 W 13 Mile Rd Ste 208
Royal Oak, MI 48073-6770
Phone
(248) 551-0066
Fax
(248) 551-2022
NPI assigned
Sep 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
James Heinsimer, M.D.NPI 1861468316
Title
Owner
Phone
(248) 551-0066

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X JH049901 MI Primary

Addresses

Primary practice location

3535 W 13 Mile Rd Ste 208
Royal Oak, MI 48073-6770

Mailing address

3535 W 13 Mile Rd Ste 208
Royal Oak, MI 48073-6770
Phone (248) 551-0066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071221000411 MI Part B Supplier - Clinic/Group Practice 4082704457 Receives reassigned benefits from 1 practitioner
Practice locations: Royal Oak, MI

National Provider Directory

National Provider Directory

Locations

3535 W 13 Mile Rd
Ste 208
Royal Oak, MI 48073
Phone (248) 551-0066

3604 W 13 Mile Rd
Royal Oak, MI 48073
Phone (248) 551-5000

3535 W 13 Mile Rd
Ste 504
Royal Oak, MI 48073
Phone (248) 551-0066

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1124214952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 W 13 MILE RD STE 208",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736770",
            "telephone_number": "248-551-0066",
            "fax_number": "248-551-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 W 13 MILE RD STE 208",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736770",
            "telephone_number": "248-551-0066",
            "fax_number": "248-551-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES HEINSIMER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "HEINSIMER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-551-0066",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "JH049901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.